Journal article

Prioritarian principles for digital health in low resource settings

Abstract:: This theoretical paper argues for prioritarianism as an ethical underpinning for digital health in contexts of extreme disadvantage. In support of this claim, the paper develops three prioritarian principles for making ethical decisions for digital health programme design, grounded in the normative position that the greater the need (of the marginalised), the stronger the moral claim. The principles are positioned as an alternative view to the prevailing utilitarian approach to digital health, which the paper argues is not sufficient to address the needs of the worst off. As researchers of digital health, we must ensure that the most globally marginalised are not overlooked by overtly technocentric implementation practices. Consequently, the paper concludes by advocating for use of the three principles to support stronger critical reflection on the ethics involved in the design and implementation of digital health programmes.

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Winters, N., Venkatapuram, S., Geniets, A., & Wynne-Bannister, E. (2020). Prioritarian principles for digital health in low resource settings. Journal of Medical Ethics, 46(4), 259–264.

MLA Style

Winters, N., et al. “Prioritarian Principles for Digital Health in Low Resource Settings.” Journal of Medical Ethics, vol. 46, no. 4, BMJ, 2020, pp. 259–64.

Chicago Style

Winters, N, S Venkatapuram, A Geniets, and E Wynne-Bannister. 2020. “Prioritarian Principles for Digital Health in Low Resource Settings.” Journal of Medical Ethics 46 (4): 259–64.
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Files:: Winters_et_al_Prioritarian_principles.pdf

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Publisher copy:: 10.1136/medethics-2019-105468

Authors

+ Winters, N More by this author

Institution:: University of Oxford
Department:: Education
Oxford college:: Kellogg College
Role:: Author
ORCID:: 0000-0001-8597-2914

+ Venkatapuram, S More by this author

Role:: Author

+ Geniets, A More by this author

Institution:: University of Oxford
Division:: SSD
Department:: Education
Role:: Author
ORCID:: 0000-0002-7800-2589

+ Wynne-Bannister, E More by this author

Role:: Author

Publisher:: BMJ
Journal:: Journal of Medical Ethics More from this journal
Volume:: 46
Issue:: 4
Pages:: 259-264
Publication date:: 2020-01-16
Acceptance date:: 2019-12-22
DOI:: 10.1136/medethics-2019-105468
EISSN:: 1473-4257
ISSN:: 0306-6800

Language:: English
Keywords:: FFR
Pubs id:: pubs:1083145
UUID:: uuid:91642a5e-3ce7-479d-bb2b-26fb1535cde1
Local pid:: pubs:1083145
Source identifiers:: 1083145
Deposit date:: 2020-01-17

Terms of use

Copyright holder:: Winters et al.
Copyright date:: 2020
Rights statement:: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made.

Licence:: CC Attribution (CC BY)

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